To join we need a completed application and membership dues for the first year. Please contact us
for more information or complete the application below.

First Name

Last Name

Email

Address

City

State

Zip

Home Phone

Cell Phone

Date of Birth

Social Security Number

Drivers License Number

Female

Male

Who Can Join?

We invite anybody 18 years old or older interested in the issues and topics we focus our efforts on to join.
Members must be able to dedicate enough time to participate and make a difference in the organization. Members must have a
vehicle and a valid Ohio Drivers license.

Benefits of Joining

There are several benefits to becoming a member of our organization. Our members are close friends and we have
a great time when we get together. Of course we also have a common interest, and we hope to further our cause.